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Obstetrics
Diagnosis
Genitourinary Tract
Genital Abnormalities
Ovarian Cyst
Ovarian Cyst
Anne Kennedy, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Definitions

            • Benign functional cyst within fetal ovary

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • MR Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Chen L et al: Prenatal evaluation and postnatal outcomes of fetal ovarian cysts. Prenat Diagn. 40(10):1258-64, 2020
                                    2. Signorelli M et al: The prognostic value of antenatal ultrasound in cases complicated by fetal ovarian cysts. J Neonatal Perinatal Med. 12(3):339-43, 2019
                                    3. Diguisto C et al: In-utero aspiration vs expectant management of anechoic fetal ovarian cysts: open randomized controlled trial. Ultrasound Obstet Gynecol. 52(2):159-64, 2018
                                    4. Bascietto F et al: Outcome of fetal ovarian cysts diagnosed on prenatal ultrasound examination: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 50(1):20-31, 2017
                                    5. Tyraskis A et al: A systematic review and meta-analysis on fetal ovarian cysts: impact of size, appearance and prenatal aspiration. Prenat Diagn. 37(10):951-8, 2017
                                    6. Catania VD et al: Fetal intra-abdominal cysts: accuracy and predictive value of prenatal ultrasound. J Matern Fetal Neonatal Med. 29(10): 1691-9, 2016
                                    7. Dera-Szymanowska A et al: Recurrent fetal complex ovarian cysts with rupture followed by simple cyst in the neonatal period with no adverse sequelae. J Matern Fetal Neonatal Med. 29(2): 328-30, 2016
                                    8. Nakamura M et al: Postnatal outcome in cases of prenatally diagnosed fetal ovarian cysts under conservative prenatal management. Fetal Diagn Ther. 37(2):129-34, 2015
                                    9. Ozcan HN et al: Imaging findings of fetal-neonatal ovarian cysts complicated with ovarian torsion and autoamputation. AJR Am J Roentgenol. 205(1):185-9, 2015
                                    10. Trinh TW et al: Fetal ovarian cysts: review of imaging spectrum, differential diagnosis, management, and outcome. Radiographics. 35(2):621-35, 2015
                                    11. Fuchs T et al: Ultrasonographic pattern of spontaneous resolving fetal ovarian cyst: a case report. Clin Exp Obstet Gynecol. 41(1):78-9, 2014
                                    12. Levit A et al: In utero fetal ovarian torsion. Ultrasound Q. 30(3):249-50, 2014
                                    13. Vitezica I et al: Prenatal diagnosis and management of a massive fetal ovarian hemorrhagic cyst torsion with secondary fetal anemia. J Clin Ultrasound. 42(4):219-22, 2014
                                    14. Hanssens SA et al: Suspected hemorrhagic ovarian cyst causing fetal anemia measured by the peak systolic velocity in the middle cerebral artery. Eur J Obstet Gynecol Reprod Biol. 171(1):187-8, 2013
                                    15. Koike Y et al: Ovarian autoamputation in a neonate: a case report with literature review. Pediatr Surg Int. 25(7):655-8, 2009
                                    16. Shimada T et al: Management of prenatal ovarian cysts. Early Hum Dev. 84(6):417-20, 2008
                                    17. Zampieri N et al: Foetal and neonatal ovarian cysts: a 5-year experience. Arch Gynecol Obstet. 277(4):303-6, 2008
                                    18. Bryant AE et al: Fetal ovarian cysts: incidence, diagnosis and management. J Reprod Med. 49(5):329-37, 2004
                                    19. Quarello E et al: The 'daughter cyst sign': a sonographic clue to the diagnosis of fetal ovarian cyst. Ultrasound Obstet Gynecol. 22(4):433-4, 2003
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Clinical Issues

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Definitions

                                              • Benign functional cyst within fetal ovary

                                            IMAGING

                                            • General Features

                                              • Ultrasonographic Findings

                                                • MR Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Gross Pathologic & Surgical Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Chen L et al: Prenatal evaluation and postnatal outcomes of fetal ovarian cysts. Prenat Diagn. 40(10):1258-64, 2020
                                                                      2. Signorelli M et al: The prognostic value of antenatal ultrasound in cases complicated by fetal ovarian cysts. J Neonatal Perinatal Med. 12(3):339-43, 2019
                                                                      3. Diguisto C et al: In-utero aspiration vs expectant management of anechoic fetal ovarian cysts: open randomized controlled trial. Ultrasound Obstet Gynecol. 52(2):159-64, 2018
                                                                      4. Bascietto F et al: Outcome of fetal ovarian cysts diagnosed on prenatal ultrasound examination: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 50(1):20-31, 2017
                                                                      5. Tyraskis A et al: A systematic review and meta-analysis on fetal ovarian cysts: impact of size, appearance and prenatal aspiration. Prenat Diagn. 37(10):951-8, 2017
                                                                      6. Catania VD et al: Fetal intra-abdominal cysts: accuracy and predictive value of prenatal ultrasound. J Matern Fetal Neonatal Med. 29(10): 1691-9, 2016
                                                                      7. Dera-Szymanowska A et al: Recurrent fetal complex ovarian cysts with rupture followed by simple cyst in the neonatal period with no adverse sequelae. J Matern Fetal Neonatal Med. 29(2): 328-30, 2016
                                                                      8. Nakamura M et al: Postnatal outcome in cases of prenatally diagnosed fetal ovarian cysts under conservative prenatal management. Fetal Diagn Ther. 37(2):129-34, 2015
                                                                      9. Ozcan HN et al: Imaging findings of fetal-neonatal ovarian cysts complicated with ovarian torsion and autoamputation. AJR Am J Roentgenol. 205(1):185-9, 2015
                                                                      10. Trinh TW et al: Fetal ovarian cysts: review of imaging spectrum, differential diagnosis, management, and outcome. Radiographics. 35(2):621-35, 2015
                                                                      11. Fuchs T et al: Ultrasonographic pattern of spontaneous resolving fetal ovarian cyst: a case report. Clin Exp Obstet Gynecol. 41(1):78-9, 2014
                                                                      12. Levit A et al: In utero fetal ovarian torsion. Ultrasound Q. 30(3):249-50, 2014
                                                                      13. Vitezica I et al: Prenatal diagnosis and management of a massive fetal ovarian hemorrhagic cyst torsion with secondary fetal anemia. J Clin Ultrasound. 42(4):219-22, 2014
                                                                      14. Hanssens SA et al: Suspected hemorrhagic ovarian cyst causing fetal anemia measured by the peak systolic velocity in the middle cerebral artery. Eur J Obstet Gynecol Reprod Biol. 171(1):187-8, 2013
                                                                      15. Koike Y et al: Ovarian autoamputation in a neonate: a case report with literature review. Pediatr Surg Int. 25(7):655-8, 2009
                                                                      16. Shimada T et al: Management of prenatal ovarian cysts. Early Hum Dev. 84(6):417-20, 2008
                                                                      17. Zampieri N et al: Foetal and neonatal ovarian cysts: a 5-year experience. Arch Gynecol Obstet. 277(4):303-6, 2008
                                                                      18. Bryant AE et al: Fetal ovarian cysts: incidence, diagnosis and management. J Reprod Med. 49(5):329-37, 2004
                                                                      19. Quarello E et al: The 'daughter cyst sign': a sonographic clue to the diagnosis of fetal ovarian cyst. Ultrasound Obstet Gynecol. 22(4):433-4, 2003